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Fill out this form with your details to participate in the Austin Gorilla Run on January 25, 2014. Bring the form to the event and make payments via check or cash.
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Pledge Form Austin Gorilla Run January 25, 2014 Participant Name: ______________________ Team Name: _____________________ Address: _____________________________________________________________ City: _____________________________ State: ___________ Zip Code: _________ Phone Number: ________________________ E-mail: ________________________ Check Cash • Please make checks payable to: MGCF • Bring this form to the Austin Gorilla Run on January 25, 2014. • The donor’s name and address or email must be clearly printed and complete on the form above to receive a tax receipt from Mountain Gorilla Conservation Fund.
